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Negation Requirements Project Minutes 11 July 2018

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Meeting Information

HL7 PC-CIMI-POC Meeting Minutes

Location: PC call line

Date: 2018-07-11
Time: 4:00-5:00 PM ET
Facilitator Jay Lyle Note taker(s) Jay Lyle
Attendee Name Affiliation

y Jay Lyle JP Systems
y Yanyan Hu Joint Commission
y Senthil Nachimuthu 3M
Ken Lord
Gay Dolin IMO
y Ben Hamlin NCQA
y George Dixon Allscripts
y Lisa Nelson
Emma Jones Allscripts


Agenda Topics

  1. Review schedule draft
  2. Review sample examples


  1. Schedule:
    1. Fall ballot not realistic. Re-plan
      1. for January (same outline)
      2. limited objectives for October
      3. new proposed plan next week
  2. Scope:
    1. We may address QRDA as well as CCDA
      1. though without a FHIR target we may not have much to do
  3. Lantana participation
    1. working on CDA to FHIR
    2. Jay to reach out to Sarah
  4. Examples:
    1. Agree that the Excel format works best; next examples will try to follow it
    2. Next week: NHSN (new); family history (adapted to template)
    3. QRDA example (Yanyan) Negation transform examples
      1. quality is still QRDA. No FHIR plans yet.
      2. Need to understand act composition approach; seems incorrect
      3. Need clarification on RIM semantics for negating related acts
      4. Clarify use of time values - seems like Encounter is the proper scope
      5. Did this document validate?
      6. confirm templates. QRDA uses negation in act proper except where CDA doesn't support it (supply, encounter); there, we use a wrapper act (QRDA CATI volI. version stu-5 12/2017. doc example (fig. 13, p 27)). SBADM is not one of these cases.
        1. <templateId root="2.16.840.1.113883." extension="2016-02-01" />
        2. <templateId root="2.16.840.1.113883." extension="2014-06-09" />

Meeting Outcomes

  • stakeholders interested in completion, secure resources
  • review posted document draft, examples

Next Meeting/Preliminary Agenda Items
  • Continue example discussion
  • New plan

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